MEDICARE: DINH QUOC VU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G69276	CA

General Provider Information

NPI Number	:	1730113242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINH QUOC VU M.D.

Provider Business Mailing Address
First Line	:	3307 MENDENARO CT
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-8041
Country	:	US
Telephone Number	:	760-723-5514
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 N BRANDON RD
Second Line	:	SUITE D
City	:	FALLBROOK
State	:	CA
Zip	:	92028-2253
Country	:	US
Telephone Number	:	760-728-4561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2007

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